NPI | 1043707854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-45999) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-10-22 |